Father's Information

If a parent and/or child is a convert, please submit conversion forms.

Emergency

Full Name

First NameLast Name

Phone Number

Area CodePhone Number

I authorize all medical transportation, medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures which may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.

I allow my child to be photographed and for the photos to be used in print, video and digital media.

Signature

Payment

$900 Annual Tuition

Pay in full. (Upon Registration.)Three Installments. (Upon registration, on November 1, and on February 1.)